Matthew Peterson, in Winona, MN - Medicare Nurse Anesthetist, Certified Registered

Matthew Peterson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Winona, Minnesota. His current practice location is 855 Mankato Ave, Winona, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 454-3650.

Matthew Peterson is licensed to practice in Minnesota (license number 2854) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013610583.

Contact Information

	Matthew Peterson,
	855 Mankato Ave, Winona, MN 55987-4868
	(507) 454-3650
	Not Available

Map and Direction

Provider's Profile

Full Name	Matthew Peterson
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	855 Mankato Ave, Winona, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013610583
Provider Enumeration Date: 03/23/2023
Last Update Date: 01/09/2024

Medicare PECOS Information:

PECOS PAC ID: 2062866361
Enrollment ID: I20230920001671

Medical Identifiers

Medical identifiers for Matthew Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013610583	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2854 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Matthew Peterson allows following entities to bill medicare on his behalf.

Entity Name	Winona Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295789352 PECOS PAC ID: 8527977420 Enrollment ID: O20040106000260

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Matthew Peterson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Matthew Peterson, 811 W Mark St, Winona, MN 55987-2635 Ph: (218) 391-9687	Matthew Peterson, 855 Mankato Ave, Winona, MN 55987-4868 Ph: (507) 454-3650

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Winona, MN

Mrs. Helen Mae Wachuta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-457-4484 Fax: 507-457-4107
Dr. Thomas Levering Smart, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3650
Sandra Marie Nortung, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 855 Mankato Ave, Winona Community Memorial Hospital, Winona, MN 55987 Phone: 507-457-4484
Mr. Dennis Harold Kneller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1610 49th Ave, Winona, MN 55987 Phone: 507-313-9403
Angela Tripp, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3650
Mrs. Amy Beth Tevis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 800-944-3960

Matthew Peterson, - Medicare Nurse Anesthetist, Certified Registered in Winona, MN